Return to work of 87 severely impaired low back pain patients two years after a program of intensive functional rehabilitation

Ann Phys Rehabil Med. 2009 Feb;52(1):17-29. doi: 10.1016/j.rehab.2008.12.005. Epub 2009 Jan 24.
[Article in English, French]

Abstract

Return to work is the main long-term objective of rehabilitation programs for patients with chronic low back pain (LBP).

Objectives: Evaluation of work status and number of sick leaves in 87 severely impaired LBP patients 2 years after a functional restoration program.

Patients and methods: Open prospective study.

Population: 87 chronic LBP patients.

Intervention: multidisciplinary functional restoration program. Ergonomic advice on the workplace was performed for 53 patients.

Outcome: work status and number of sick leaves due to LBP.

Results: The characteristics of the 26 patients lost to follow-up did not differ significantly from the rest of the population before the program. In the 61 remaining patients, 48 (78%) were at work at 2 years, 43 full-time and 22 at the same job. Nineteen worked in a different environment. Sick leaves were reduced by 60% compared to the 2 years prior to the program: 128 days (+/-200 days) versus 329 days (+/-179 days); p<0.005.

Conclusion: Sick leaves remained significantly reduced and the number of workers who were at work significantly increased at 2 years after an intensive program.

MeSH terms

  • Adult
  • Employment*
  • Ergonomics*
  • Female
  • France
  • Humans
  • Low Back Pain / rehabilitation*
  • Male
  • Pain Measurement
  • Prospective Studies
  • Recovery of Function
  • Severity of Illness Index
  • Sick Leave / statistics & numerical data